Yani Marlina
Universitas Bhakti Kencana

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Manajemen perawatan luka pada klien post sectio caesarea di rsud kota bandung Irisanna Tambunan; Diana Ulfah; Yani Marlina; Rani Ismi Oktaviani; Alfi Khoerunisa
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 4 (2025): April Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i4.474

Abstract

 Background: Cesarean section is a surgical procedure that is often performed to deliver a baby, especially when normal delivery is not possible. Cesarean section delivery is high risk for the mother and fetus, both during labor and the postpartum period, especially the risk of infection in the postoperative wound. Postoperative wound care, especially in patients who undergo caesarean section (CS), is an important aspect of recovery. Purpose: To get an overview of the application of wound management in patients with post-cesarean section. Method: Descriptive method with case study approach. The object of the research is three post sectio caesarea clients at Bandung City Hospital. Data collection used in this case study is interviews, observation and documentation using several research instruments as support in data collection. Results: Good wound healing on the seventh day after standard wound care. Factors that affect wound healing include education, age, and mobilization. One client who was 38 years old (high risk) and had just started mobilizing on the third day, experienced slower healing than the other two patients who had mobilized faster. Conclusion: Proper wound care management and a positive client attitude can accelerate wound healing, reduce pain, and increase mobility. Suggestion: improve the quality of wound care and provide health education to create a positive attitude in patients, which will support the wound healing process. Keywords: Management; Nursing Care; SC (Section Caesarea); Wound.  Pendahuluan: Sectio caesarea adalah prosedur bedah yang sering dilakukan untuk melahirkan bayi, terutama ketika persalinan normal tidak memungkinkan. Persalinan sectio caesarea berisiko tinggi bagi ibu dan janin, baik selama persalinan maupun masa nifas, terutama risiko infeksi pada luka pasca operasi. Perawatan luka pasca operasi, khususnya pada pasien yang menjalani sectio caesarea (SC), merupakan aspek penting dalam pemulihan. Tujuan: Untuk mendapatkan gambaran penerapan manajemen luka pada pasien dengan post sectio caesarea. Metode: Metode deskriptif dengan pendekatan studi kasus. Objek penelitian tiga orang klien post sectio caesarea di RSUD Kota Bandung. pengumpulan data yang digunakan dalam studi kasus ini yaitu wawancara, observasi dan dokumentasi dengan menggunakan beberapa instrument penelitian sebagai pendukung dalam pengambilan data. Hasil: Penyembuhan luka yang baik pada hari ketujuh setelah perawatan luka sesuai standar. Faktor-faktor yang memengaruhi penyembuhan luka antara lain pendidikan, usia, dan mobilisasi. Salah satu klienyang berusia 38 tahun (risiko tinggi) dan baru mulai mobilisasi pada hari ketiga, mengalami penyembuhan lebih lambat dibandingkan dua pasien lainnya yang lebih cepat melakukan mobilisasi. Simpulan: Manajemen perawatan luka yang tepat dan sikap positif klien dapat mempercepat penyembuhan luka, mengurangi nyeri, dan meningkatkan mobilitas. Saran: Meningkatkan kualitas perawatan luka dan memberikan penyuluhan kesehatan untuk menciptakan sikap positif pada pasien, yang akan mendukung proses penyembuhan luka. Kata Kunci: Luka; Manajemen; Perawatan; SC (Sectio Caesarea).
Experience of breastfeeding mother’s in treating cracked nipples Yani Marlina; Irisanna Tambunan
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 10 (2026): January Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i10.2061

Abstract

Background: Nipple trauma is one of the most common problems experienced by mothers during the early breastfeeding period and is a major cause of discomfort and pain during breastfeeding. This condition not only affects physical well-being but also influences maternal emotional status, self-confidence, and motivation to continue breastfeeding. If not managed appropriately, nipple trauma may lead to early cessation of breastfeeding and hinder the achievement of exclusive breastfeeding programs. Although various treatment methods have been recommended, mothers’ choices and the effectiveness of these methods are strongly influenced by their experiences, perceptions, and the support they receive. Purpose: To explore in depth breastfeeding mothers’ experiences in managing nipple trauma, including their perceptions of its causes, selected care strategies, barriers encountered during the care process, and the role of social and professional support. Method: A qualitative study with a descriptive phenomenological approach was conducted. Five breastfeeding mothers who experienced nipple trauma within the past year were recruited using purposive sampling. Data were collected through semi-structured in-depth interviews conducted between September and November 2025. Data analysis was performed using Colaizzi’s method through systematic and detailed stages. Results: Mothers perceived nipple trauma as a condition that caused both physical pain and emotional burden. The main contributing factors included improper latch-on technique, maternal fatigue, and changes in nipple skin condition. Mothers applied various care methods; however, they frequently faced limited and inconsistent information. Support from family members and health professionals played a crucial role in maintaining breastfeeding continuity. Conclusion: Mothers’ experiences in managing nipple trauma represent a complex process influenced by the interaction of physical, psychological, and social factors. Practical, evidence-based, and easily accessible breastfeeding education, along with early professional support, is essential to prevent nipple trauma and support the success of exclusive breastfeeding.
Family support in postpartum perineal wound care from a cultural perspective: A qualitative study Diana Ulfah; Yani Marlina
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 10 (2026): January Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i10.2237

Abstract

Background: Postpartum mothers undergoing vaginal delivery face a significant risk of perineal trauma, a condition with a high global prevalence (2.7 million cases in 2020, with 75% of the incidence in Indonesia) that, if not managed properly, can lead to serious complications such as infection, prolonged pain, and sexual dysfunction, exacerbated by the anatomical reality of persistent exposure to lochia moisture. Effective recovery fundamentally relies on crucial factors including hygiene, nutrition, and early mobilization, yet the role of family support a key determinant in decision-making and practical care remains underexplored, particularly in the highly multicultural context of Indonesia. This cultural perspective is crucial because local traditions and beliefs often introduce dietary or activity taboos that directly impact healing. Therefore, to address the common morbidity associated with perineal wounds and the recorded perineal rupture rate of 54% in regions such as West Java, this qualitative study is urgently needed to address the knowledge gap by in-depth exploring: "How does family support influence perineal wound healing from a cultural perspective?" Purpose: To deeply explore and describe the various forms of family support provided to postpartum mothers for perineal wound care, specifically examining the influence of diverse cultural aspects (cultural variables) within the Indonesian context. This focus on the cultural dimension represents the novelty of this research. Results: From analysis of interview transcripts with participants revealed two main themes describing the dimensions of family support: emotional, instrumental, and informational. Each theme consists of several. Emotional: Providing a sense of security and peace, as well as mental strength within the nuclear family. Instrumental: Providing nutritious food and drinks, managing the household, and caring for the baby. Informational: Information from health workers conveyed by the family, and selectively adapted traditional information.. Conclusion: Family support for perineal care in postpartum mothers, viewed from a cultural perspective, is comprehensive and can be categorized into four distinct themes. These themes highlight how culturally embedded practices and family dynamics significantly influence and enhance mothers' ability to perform appropriate perineal wound care, ultimately promising improved maternal health outcomes.